Individual
DR. RANDALL ALAN POHLENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2144 SW 36TH ST, TOPEKA, KS 66611-2554
(785) 266-1515
(785) 266-2441
Mailing address
2144 SW 36TH ST, TOPEKA, KS 66611-2554
(785) 266-1515
(785) 266-2441
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1272-3
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052594
MEDICARE
KS
05
—
100218330B
—
KS
01
—
410037231
RAILROAD MEDICARE
KS
Enumeration date
07/01/2006
Last updated
03/22/2013
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